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Abstract

CONTRACEPTION AND RISK OF BACTERIAL VAGINOSIS

*Stefan Kovachev

ABSTRACT

The aim of this study is to determine the relationship between bacterial
vaginosis and the used contraceptive method. Methods: In our casecontrol,
single-center study 1450 women used different contraceptive
methods with gynecological vulvo-vaginal complaints were included,
where the clinical and microbiological studies indicated presence or
absence of bacterial vaginosis, other vaginal infections or normal
vaginal flora. The used contraceptive method was determined
anamnestically. Results: Of 1450 (100%) women enrolled in our study
500 (34.4%) women drop out for different reasons and only 995
(68.6%) were included in. From these 995 (100%) included women:
107 (10.7%) used intrauterine devices (IUD), 343 (34.5%) combined
oral contraception (COC), 10 (1%) spermicides and 535 (53.8%)
condoms. Bacterial vaginosis was determined clinically and
microbiologically in 591 (59.4%) women enrolled in the study, and 404 (19.6%) had normal
vaginal flora. There was a statistically significant relationship only between the use of IUD,
condoms and the development of bacterial vaginosis (p ≤ 0.05). The remaining contraceptive
methods used by women in our study did not indicate such a relationship (p ≥ 0.05).
Conclusions: The use of а IUD and condoms can be regarded as a risk factor for disorders of
the microbiological balance in the vaginal ecosystem and can lead to the development of
bacterial vaginosis. The remaining contraceptive methods used by women in our study did
not reveal statistically significant relation to the development of bacterial vaginosis.